Advanced Patho Discussion 1 *300 words

For this Discussion, you examine a case study and explain the disease that is suggested. You examine the symptoms reported and explain the cells that are involved and potential alterations and impacts. 

Scenario:  A 16-year-old boy comes to clinic with chief complaint of sore throat for 3 days. Denies fever or chills. PMH negative for recurrent colds, influenza, ear infections or pneumonias. NKDA or food allergies. Physical exam reveals temp of 99.6 F, pulse 78 and regular with respirations of 18. HEENT normal with exception of reddened posterior pharynx with white exudate on tonsils that are enlarged to 3+. Positive anterior and posterior cervical adenopathy. Rapid strep test performed in office was positive. His HCP wrote a prescription for amoxicillin 500 mg po q 12 hours x 10 days disp #20. He took the first capsule when he got home and immediately complained of swelling of his tongue and lips, difficulty breathing with audible wheezing. 911 was called and he was taken to the hospital, where he received emergency treatment for his allergic reaction.

Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation:

  • The role genetics plays in the disease.
  • Why the patient is presenting with the specific symptoms described.
  • The physiologic response to the stimulus presented in the scenario and why you think this response occurred.
  • The cells that are involved in this process.
  • How another characteristic (e.g., gender, genetics) would change your response.

*Must use 3 references with an in-text citation for each. 

MEDICAL CARE

 Discuss whether you believe that a person who needs medical care would consider the religious type of hospital before being admitted and why. Include in your discussion how the way in which a health care facility addresses religion may affect the outcomes of patient care. Provide a supporting reference for your response. PLEASE INCLUDE IN-TEXT CITATION AND REFERENCE 

Nursing And Health (Due 24 Hours)

 

1) Minimum 7 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

            

 

Parts 5, 6, and 7 must be different. Different writing and perspective, but always answering questions objectively

              Part 1: minimum 1 page

              Part 2: minimum 1 page

              Part 3: minimum 1 page

              Part 4: minimum 1 page

               Part 5 : minimum 1 page 

              Part 6: minimum 1 page 

              Part 7: minimum 1 page 

   

Submit 1 document per part

2)¨******APA norms, please use headers

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

         Submit 1 document per part

3) It will be verified by Turnitin and SafeAssign

4) Minimum 3 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Part 1:

 

1. Jeff is 11 years old and slightly overweight. His father is a truck driver who was recently diagnosed with type 2 diabetes. His mother is a licensed practical nurse at the local hospital. At a recent health science fair at his school, a student-led screening clinic documented Jeff’s blood pressure at 140/92 mm Hg.

a. Is Jeff at risk? If so, for what?

b. Utilizing the Guidelines for High Blood Pressure in Adults (American College of Cardiology, 2017), what is Jeff’s future risk from adolescence through adulthood?

c. How does epidemiologic data define hypertension in a child of Jeff’s age?

d. Are there health promotion activities that you would recommend?

Part 2:   Cognitive Behavioral Therapy (CBT)

 

There are different treatments used for the diagnosis of PTSD. 

Please, select one of them (Cognitive Behavioral Therapy (CBT) 

1. Discuss it. 

2. Explain why you selected that particular treatment.

Part 3:   

 

The gerontological nurse is responsible to conduct a complete “head-to-toe” physical assessment. There are several considerations of common changes in late life during physical assessment discussed in your textbook. 

1. Mention at least 3 common changes in late life that the gerontological nurse needs to have in consideration during a physical assessment.

2. Explain each one of them.

Part 4:   

 

 

Case Study, Chapter 8, Unlicensed Assistive Personnel and the Registered Nurse 

The increased use of unlicensed assistive personnel presents both opportunities and challenges for the American health care system. The nurse manager has to deal with the challenge that unlicensed assistive personnel only be used to provide personal care needs or nursing tasks that do not require the skill and judgment of the RN.

1. The nurse manager reviews the national effort to define the scope of practice for unlicensed assistive personnel. In 2007, the American Nurses Association made recommendations for a national and/or state policy for nursing assistive personnel. What are the six actions that should be taken to create a national and/or state policy agenda about the educational preparation of unlicensed assistive personnel and the competencies they should have for safe practice?

2. The need in health care today is for today’s nurses to have highly developed delegation skills in working effectively and efficiently with unlicensed assistive personnel. This is critical to ensure the clients’ needs are met and their safety is not jeopardized. What are the key general principles that the nurse manager needs to review with professional registered nurses in delegating to unlicensed assistive personnel?

Part 5:   

  

Select the state (Florida) where you plan to practice as a nurse practitioner and/or nurse leader and

1. Investigate the state’s policies on access to maternal health resources such as contraceptive care including abortion for women with and without health insurance coverage. 

2. Identify what are the state’s infant and maternal mortality rates and discuss the possible relationship between these factors. 

Part 6:   

  

Select the state (Florida) where you plan to practice as a nurse practitioner and/or nurse leader and

1. Investigate the state’s policies on access to maternal health resources such as contraceptive care including abortion for women with and without health insurance coverage. 

2. Identify what are the state’s infant and maternal mortality rates and discuss the possible relationship between these factors. 

Part 7:   

  

Select the state (Florida) where you plan to practice as a nurse practitioner and/or nurse leader and

1. Investigate the state’s policies on access to maternal health resources such as contraceptive care including abortion for women with and without health insurance coverage. 

2. Identify what are the state’s infant and maternal mortality rates and discuss the possible relationship between these factors. 

Week 4 project capstone

Week 4 Project

In a Microsoft Word document of 4-5 pages formatted in APA style, complete the following assessments (as they pertain to your aggregate) by interviewing 2-3 members of your aggregate:

Please note that the title and reference pages should not be included in the total page count of your paper.

Describe the results of the assessments, including examples and support from journal articles, following the guidelines below:

Risk Assessment

  • How Environment was Assesse
  • How the Home was Assesse
  • How the Family was Assesse
  • Risk Assessment

Strengths and Weaknesses

  • Strengths of Community
  • Weaknesses of Community
  • Strengths of Aggregat
  • Weaknesses of Aggregate
  • Health Risks of Aggregate Identified

On a separate reference page, cite all sources using APA format.

Please use this reference. 

The assignment has to be on a patient with uncontrolled hypertension and cardiac issues  This patient was re admitted to the hospital (cardiac/telemetry unit) because of the on going Controlled hypertension And possible heart attack. 

Assignment 7

 

1. Harold is seen in the office. He has a history of congestive heart failure and is concerned that he is gaining a lot of weight. You determine that he weighs 185 lb. When he asks you how much weight he has gained since his last checkup the previous month, you check the chart and find that he weighed 79 kg. What will you tell him?

2. Sally brings her 3-month-old baby to the clinic because of a fever and possible ear infection. You find that the infant weighs 13 lb, 4 oz. The physician writes an order for you to give a dose of antibiotics based on the infant’s weight in kilograms. Before you give the medication, you must convert the child’s weight to kilograms. How will you do this, and what is her weight in kilograms?

3.  Please discuss the importance of measurement systems as it relates to the management of the patient. Should it be a required course for all healthcare providers of for physicians and nurses only. Please explain why. 

Dq response

What are your thoughts 

When following and discussing problems with my preceptor we both had similar problems in common within our facilities. One of the major problems is readmission rates. Patients on the behavioral health unit have poor follow up care. In Texas there is not a lot of options for mental health outpatient, especially for those who are indigent. So case managers and social workers struggle to find good follow up care. “Medicare states that certain diseases will have decreased funds if patients are readmitted within 30 days, behavioral health patients somewhat fall under that umbrella.”(CMS,2020). These patients reimbursements are lowed if they are readmitted. The facilities can often struggle finically from these lower rates. One nurse implication for this would be to make sure to start teaching the patient about medication management as soon as the patient is admitted. If patients feel that they can manage their symptoms and understand depression and suicide and go to therapy to get to the core of what is going on then they can manage these problems at home and find support from family or friends they have a lower readmission rate. Also involving the family in the care and medication management helps with managing behaviors. Reaching out to the patients primary care physicians can also help with follow up treatments. 

Another problem that we discussed is one that I feel happens everywhere, nurse burnout causing a shortage. On our units we often have to work overtime due to not having enough staff. When we are working over our three 12 hour shifts most of us start to get burnout and eventually change departments or quit. This happen throughout most units in a facility. Another nursing implication for this is to help build team moral, the nurses who start to experience burnout should go to the team leads and be able to express their feelings. The managers in the units should utilize PRN employees or hire more PRN staff to help fill in the holes in the schedule. Funding doesn’t always allow for this but as the advocator for the unit they can reach out to the float pool and help so full time nurses can have the days off that are needed sometimes. 

Discussion Topic Ch 10.

Use at least 3 references. Minimum 500 words. APA format.

Read Chapter 10

1. In the last century, what historical, social, political, and economic trends and issues have influenced today’s health-care system? 

2. What is the purpose and process of evaluating the three aspects of health care: structure, process, and outcome? 

3. How does technology improve patient outcomes and the health-care system?

4. How can you intervene to improve quality of care and safety within the health-care system and at the bedside? 

2. Select one nonprofit organization or one government agencies that influences and advocates for quality improvement in the health-care system. Explore the Web site for your selected organization/agency and answer the following questions: •

What does the organization/agency do that supports the hallmarks of quality? • 

What have been the results of their efforts for patients, facilities, the health-care delivery system, or the nursing profession? •

How has the organization/agency affected facilities where you are practicing and your own professional practice?

essay in healht studies

 • Summarize how COVID-19 cases are related to social determinants of health of income, race, and immigrant status. (33%) • 

What might be the reasons why income, race and immigrant status would be related to the incidence of COVID-19? Use material from the first eight chapters to help answer this. (33%)

 • How would some of the recommendations provided in chapters 3-8 for improving the quality and distribution of the social determinants of health of income, employment security and working conditions serve to reduce the vulnerability of people to COVID-19? (33%) 

week 1

You are evaluating a 78-year-old white male who comes to your office today with unintentional weight loss of 10 lb in the last year, self-reported exhaustion weakness based on grip strength, and slow walking speed, and low physical activity. Patient notes that he has been feeling worse over the past 6 months and just does not have the strength to do anything anymore. The patient states he is not currently on any medications except a multivitamin. He notes that he lives alone and does not want to leave his house. Answer the following questions with supportive rationale:

  1. What questions should you as the patient/family ask to further assess?
  2. What screening tools would be appropriate in this case?
  3. Do you have concerns with frailty in this patient?  If so, why?
  4. What referrals should be made, if any, on this patient?

Your in Communication

The purpose of this assignment is to stimulate reflection about an experience, rather than just documenting the experience.

First, complete the questionnaire portion of “What Is Your Role in Communicating Research Information? Part I Questionnaire and Scoring Guide” resource.

Score the questionnaire using the same resource.

One way to keep from simply documenting the event is to begin your answer to the above questions with one of the following phrases:

  1. During my experience, I felt…
  2. I learned… about myself.
  3. The significance or meaning of my learning is…
  4. I discovered I …

Refer to the “Feeling Words” resource. The list of feeling words may serve as an aid to identify feelings that may occur during health care professional-patient interactions.

Based on the questionnaire results, as well as the insights gained from the Topic 1 readings, write a 250- to 500-word reflection, addressing the following questions:

  • How would you describe your success with communicating?
  • What did you learn about your communication style that enables you to communicate effectively?
  • How will you work to increase your communication ability with compassion and care for others?
  • How will you use this research process to communicate what you have learned about your communication skills that will help you as a health care professional?